Vinyl chloride poisoning
Occupational Diseases / / August 12, 2017
vinyl chloride (vinyl chloride, chloroethylene) - colorless, odorless gas.It is used primarily as a vinyl chloride monomer and perchlorovinyl resins, as well as plastics, rubber, synthetic fibers, paints, and so on. D. Based on them.MPC - 30 mg / m3.It enters the body and is excreted through the lungs.A drug which affects the central and autonomic nervous system, cardiovascular system, digestive organs, thyroid, skeletal system and the skin.
Symptoms In acute poisoning observed irritability, memory impairment, dizziness, headaches, orientation disorder, euphoria, possible loss of consciousness.
characteristic cardiac abnormalities as a result of the toxic myocardial damage or sensitization to adrenaline it: sinus arrhythmia, extrasystole, flickering, angina.
In chronic poisoning: complaints of weakness, general lethargy, apathy, headache, dizziness, irritability, sleep disturbances, loss of appetite, nausea, feeling of heaviness in the pit of the stomach, weight loss, pain and paresthesias in the
objectively determined phenomena of vegetative-vascular dystonia (bradycardia, hypotension, arrhythmia, extrasystole, spastic condition of retinal vessels);Possible symptoms of vegetative-sensitive polyneuritis.Myocardiodystrophy.Disorders of thermoregulation, thyroid function (change in basal metabolism and others.).Dyspeptic symptoms, signs of moderate toxic hepatitis.
In the blood: thrombocytopenia, tendency to anemia, leukopenia small, sometimes a tendency to erythrocytosis and leukocytosis, an increase in the amount of calcium, you can change the sugar curve.Typical bone pathology (osteoporosis and osteosclerosis).Most often affects the upper limbs, especially nail phalanxes, to change the chest bone and skeletal system damage.
may be dermatitis, scleroderma pattern.In more severe cases - toxic encephalopathy: decreased attention, memory, intelligence, and sometimes hallucinations, expressed mild organic symptoms.
First aid and treatment
In mild acute poisoning - peace, certainly fresh air, inhalation of humidified oxygen.When excited, euphoria, urge to vomit - soothing, chlorpromazine, calcium gluconate, glutamic acid.In severe poisoning, inhalation of carbogen should be alternated with longer inhalation of oxygen.Cardiovascular funds.When you stop breathing - CPR.Compulsory hospitalization.In chronic cases - a sedative and restorative treatment.